精神分裂症中异质大脑异常汇聚在与症状缓解相关的共同网络上
Yingru Wang1, Yinian Yang2, Wenqiang Xu2
1Department of Psychology and Sleep Medicine, The Second Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, China.
Schizophrenia bulletin
|January 22, 2024
概括
精神分裂症脑成像显示了各种各样的发现. 确定了一个共同的网络,包括前带状皮质和胰岛,将结构和功能变化联系起来,并为精确的疗法提供点.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 医疗成像医学成像
背景情况:
- 在精神分裂症中的磁共振成像 (MRI) 研究显示出显著的异质性.
- 一个假设提出,精神分裂症中的结构和功能成像发现可以汇聚到一个统一的大脑网络中.
研究的目的:
- 系统地审查关于精神分裂症中大脑形态和静止状态功能的病例控制研究.
- 通过坐标网络映射,识别受精神分裂症影响的共同大脑网络.
- 验证已识别的精神分裂症网络的特异性和临床相关性.
主要方法:
- 对143项病例控制研究 (7389名精神分裂症患者,7408名对照) 的系统审查.
- 在健康的人类连接组数据 (n=652) 上应用坐标网络映射.
- 使用来自13个元分析,药物,神经调节和脑损伤研究的独立数据进行验证.
主要成果:
- 确定了一个共同的网络,连接空间遥远的缩和功能障碍坐标.
- 精神分裂症网络的枢纽区域包括双边前带带皮层,胰岛,叶和皮下结构.
- 这个网络显示了与皮质厚度变化的特定联系,并与参与精神病症状缓解的区域保持一致.
结论:
- 精神分裂症研究中的神经成像异常汇聚到一个凝聚力的大脑网络中.
- 这个网络为开发精确的精神分裂症治疗干预提供了具体的,可测试的目标.
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